As the next phase of health reform is implemented across the country there exists an unprecedented opportunity for industry transformation as integrated health systems, payers and physician groups continue to adopt and evolve Accountable Care models and participate in value based purchasing initiatives.

Accountable Care IT Readiness

Foundational to the success of a more accountable, better coordinated delivery system is a technology architecture that integrates traditional IT tools that collect and distribute clinical data with new tools that support population health, clinical workflow, patient engagement as well as to integrate clinical, operational and financial data to support performance and risk management.

Building on the success of previous meetings the Fourth Annual Accountable Care and HIT Strategies Summit brings together ACOs, Health Systems, Medical Groups and Payers from across the country to discuss the practical steps that need to be taken to implement the clinical, financial and administrative systems required to succeed in an Accountable Care setting.

Who will Attend

Clinical, Business and IT leaders from provider organizations across the country are now mobilizing their organizations to participate in ACOs and/or seeking to be effective partners for payers in value-based purchasing programs.

2014 Accountable Care & Health IT Strategies Summit Agenda

Hyatt Regency, McCormick Place, Chicago IL

Day 1 - Thursday September 18

07.45a.m.«»08.45a.m.

Breakfast and Registration

08.45«»09.00

Opening Remarks:

09.00«»09.30

Keynote 1:Using CMS Data to Accelerate Health System Change

View HD Video Niall Brennan, Acting Director, Offices of Enterprise Management, Centers for Medicare and Medicaid Services
As the largest single payer for health care services in the United States, CMS generates billions of data points every year. Over the past several years, CMS had made huge strides in utilizing this data to increase quality, improve population health, and reduce per capita health care costs. Attendees will learn about how CMS is transforming it’s approach to data and analytics. Niall will discuss CMS’ internal use of data analytics to drive better patient outcomes. He will also address CMS’ work to maximize data for external users by creating actionable, publicly-available information products and by enhancing access to detailed CMS data for external stakeholders.

09.30«»10.15

Keynote 2: Finding Your Patients for Care Coordination

Kathy Lewis, VP, Advanced Services, Clinical Network services, Surescripts
Malcolm Costello, General Manager, Kryptiq Corporation
View HD VideoACOs today are working with care providers to deliver quality care while managing costs. How can you manage care effectively if you don’t know where your patients are receiving it? For purposes of care coordination, providers want to know when their patients are in the emergency room, being admitted to or discharged from a hospital or seeking complex care outside the network.
Attend this session to:
· See beyond risk sharing for ACO value – manage a patient population inside and outside the network
· Obtain actionable data on where your patients are going for care in real time – receive data through clinical alerts, ADT feeds and other transactions rather than waiting for claims to come in
· Connect and receive data across vendor platforms - use interoperability and a connected health network to provide real-time patient insights for improved care delivery
· Meet quality benchmarks: Harness data to drive positive outcomes and improve care management for high-risk and chronic populations
· Integrates data into existing workflows

Networking Break in Exhibit Hall

Moderator: Jeremy Orr, Chief Medical Officer, Optum Analytics
Barbara Walters, Executive Medical Director, Dartmouth-Hitchcock and CMO, OneCare Vermont
Karen Cabell, CMIO, Billings Clinic
Shashi Tripathi, Chief Information Officer, Springfield Clinic
View HD Video For providers transitioning to value-based payments in an ACO setting, they must seeking out improvements in care quality as well as to better understand the relationships between cost and treatment across the care continuum. Data analytics and population health management hold huge promise to help risk stratify patient populations and identify opportunities to improve quality and better coordinate care. Join our panel of experts to explore the strategies employed and lessons learned to leverage data assets to support the successful development from two Pioneer ACOs.

11.45«»12.15

Buffet Served for Meet the Innovators Lunch

12.15«»1.00

Meet the Innovators Keynote: How the DoD is Using Meaningful Engagement to Optimize Population Health Management

Dan Johnston, U.S. Army Medical Director Lieutenant Colonel Doctor
Jeff Arnold, CEO, Sharecare
View HD Video In 2012, the Department of Defense charged LTC Daniel T. Johnston, MD, MPH, with creating an online wellness platform that would enable the agency to assess, manage and improve the health of active duty Soldiers and Army civilians. Johnston partnered with Sharecare to build ArmyFit: a platform maximizing digital engagement and fostering behavioral change through tailored content and interactive tools. During this presentation, attendees will learn how the Army is utilizing data-driven applications to monitor and improve population health and program effectiveness at the installation level, as well as optimize development of health policy and resource allocation.

1.00«»1.50

Meet the Innovators Working Lunch Roundtables

Project Directors and leading HIT Strategists will lead roundtable discussions around specific technology and project initiatives that are at the leading edge of the Accountable Care and Health IT innovation and transformation process.
Roundtable 01 | Clinigence
Presenter: Kobi Margolin, CEO Clinigence
A Data-Driven Navigation System to Drive ACO Success
Clinigence's unique technology empowers ACOs and other health care providers to chart a clear path towards achieving shared savings and succeeding in transforming to value-based payment models. In this interactive session we will share with you how our ACO clients are leveraging our ACO beneficiary management and quality reporting registries, real-time clinical performance dashboards and integrated cost/quality analytics to take measured steps towards success. We will also share client evidence of success, including bending the cost curve, improving patient outcomes through targeted care management and expanding commercial ACO contracts.
Roundtable 02 |EQ Health Solutions
Presenters: Marina Brown, Clinical Programs Director, eQHealth Solutions
Dr. Ron Ritchey, Chief Medical Officer (CMO), eQHealth Solutions
Addressing the Needs of ACO through the Marriage of High Technology with High Touch Care Coordination
Within the first three years, ACOs have two fundamental goals to reach – to deliver high-quality care and reduce overall health costs for that population. How can this be done? How can we acquire actionable information for population management? Can we integrate in physician offices with minimal disruption? Can we identify high cost members and providers? What evidence exists and which care coordination model really works? Can we monitor and improve quality before it’s too late? Can we optimize and utilize network resources to change patient behavior? The combination of high-tech and high-touch care coordination can help you solve all of these problems and achieve these goals.
Roundtable 03 | Consilink
John Smolen, Director of Platform Technologies, Consilink
Hidden Value: Finding New Uses for Existing Data
Consilink is a healthcare technology start-up that collaborates with Medical Home Network to deliver actionable insights to Chicago-area Medicaid providers. Placing real-time alerts in historical context of patient claims data enabled practice transformation among participants by unlocking latent value in existing data sources. As data-enabling macro-trends play out nationally in coming years (e.g., Meaningful Use), this roundtable discussion will focus on identifying high-value information sources that may be more readily available to providers seeking near-term solutions to ACO performance challenges.
Roundtable 04 | eClinicalWorks LLC
Jatin Gupta, Population Health Division, eClinicalWorks LLC
Turn Aggregated Data into Actionable Data
Most people concentrate on analyzing tip of the iceberg instead of deep diving and understanding the data below the surface. It happens either due to lack of knowledge or the inability of tools that are deployed.
Gain insight from this session how to aggregate, cleanse, map the data and turn in to evidence based actionable data. We will discuss how to marry claims and clinical information and make it actionable to bring better outcomes and greater compliance. Let the technology work for you instead of you working for technology.
*More MTI roundtables to be published

Short Break

2.55«»3.40

Breakout Sessions

Track 1
Implementing Community Analytics in an ACO SettingModerator:Terry Fouts, CMO, MedeAnalytics
Abha Agrawal, MD, VP, Medical Affairs, Chief Operating Officer, Norwegian American Hospital
Louis Ralofsky, President, NOMS ACO, LLC
View HD Video As many providers tackle population health management, they are quickly realizing that the keys to success lie beyond clinical data. Community and social factors are critical to understanding the full picture of a patient's life, habits and societal background – all of which contribute to their clinical outcomes. The session will explore ways to collect this lifestyle information and how it can be integrated into existing population health management programs for an ACO, or how to build this data collection process from scratch. The speakers will also showcase real use cases, highlighting the successes and lessons learned.
Track 2
Clinical Integration - Building Strong Foundations in an Uncertain Health Care Environment
Chad Johnson, CEO, Children's Health Network
View HD Video In today's uncertain healthcare environment it is critical for hospitals, clinics, payers, and other care providers to move past the siloed and fractured care models commonly in place today. The successful care models of tomorrow will have the ability to move with and pro-actively engage patients no matter what the patients are receiving care. Quality and efficiency will be front and center and the successful use of data will be king.
In this presentation Chad will mix his own experience in building an integrated care system along with his vision for the future. Chad will also cover other relevant topics including:
1. How do you get Hospitals and independent physicians engaged and aligned?
2. What role does technology play in an integrated network or ACO?
3. What are the land mines in developing an integrated network?
4. Getting the patient involved in their care experience.
5. What does the future hold?

3.40 «»3.50

Short Break

3.50 «»4.35

Breakout Sessions

Track 1
Moving from Population Health Management Reporting to Predictive AnalyticsModerator: Ron Ritchey, CMO, eQHealth Solutions
Dr Larry Allen, CMO, IU Health Goshen
Jay Bhatt, Chief Strategy and Innovation Officer, Chicago Dept of Public Health
Marina Brown, Director Clinical Operations, eQHealth Solutions
View HD Video Healthcare is being transformed from a retrospective, “past-is-prologue” system of patient management to one in which decisions are driven by data that try to predict patient behavior and outcomes. Simple reporting of past events will not realize the full potential of accountable care. This breakout panel will look at the role of data analysis in predicting who your highest risk patients are, and what the best care is for these subpopulations.
Track 2
Using Population Data for Strategic Disease Management and Cost ContainmentModerator: Lori Evans Bernstein, President, GSI Health
Elizabeth Ennis, CMO, Baptist Health System
Tom Wall, Vice President and Executive Medical Director, Triad HealthCare Network, Medical Director Cone Health
View HD Video The move from procedure-based to outcome-based evaluation of care and continued attention to reducing costs require more sophisticated analysis of patients, their behavior, and community. The ability to handle population data, from demographic segmentation to tracking patient actions to predicting the risk of chronic disease, is key to developing effective, cost-containing strategies. Learn about the different approaches, applications and outcomes from our panel of experts.

4.30«»5.45

Networking Cocktail Reception in Exhibit Hall

Drop off your business card to win one of two Misfit SHINE personal activity trackers!

Day 2 - Friday, September 19th

07.45«»08.45

Registration & Accountable Care Implementation Breakfast Roundtables

Project Directors and leading HIT Strategists will lead roundtable discussions around specific technology and project initiatives that are at the leading edge of the Accountable Care and Health IT innovation and transformation process.
Roundtable 1
Regional Extension Centers: Trusted Advisors in the Field
Danielle Sims, Project Officer, ONC/DHHS
Regional Extension Centers (RECs) have close working relationships with providers participating in ACOs, are aware of health IT challenges, and have structured service offerings around those challenges. As captured by ONC’s FACA ACO workgroup, major challenges ACOs face includes: patient engagement, quality measure abstraction, aggregation, and reporting, vendor/EHR product, data exchange among providers, IT strategy, scaling notification services, and population health management. Health IT plays a significant role in overcoming these challenges; RECs have been providing health IT and practice transformation services to support providers who face these barriers.
Roundtable 2
Transition from Fee-for-Service to Value-Based Payments
John Clark, MD, JD, Chief Medical Officer, Indiana University Health ACO, Inc.
Medical Director, Population Health, IU Health Physicians
Medical groups entering the world of Population Health Management face several challenges negotiating the transition from Fee for Service to Value-Based payments with their physicians. Indiana University Health Physicians (IUHP) has been putting a significant portion of its primary care physicians’ salaries at risk for quality, patient satisfaction, and access to care for more than 15 years. Over the last three years the advent of Accountable Care / Shared Savings and full-risk contracting has challenged the group to provide incentives for its physicians aligned with quality of care and service to the whole population of patients it serves while simultaneously encouraging the transformation of office-based work flow to effectively manage value-based contracts. IUHP has met these challenges with both contractual incentive programs focused on technical quality of care, patient satisfaction, and patient access to care for which the physicians feel a reasonable degree of control as well as team and region-based shared savings incentives tied directly to overall cost of care for risk populations. Importantly, IUHP has negotiated for fixed up front “transactional” payments for physicians participating in processes designed to maintain quality of care while improving care coordination for the sickest of patients. Using these dual mechanisms IUHP ensures that quality of care and patient satisfaction stay at the forefront of care delivery processes while allowing those processes to evolve to meet the needs of population health management.
Roundtable 3
St Joseph Health Partners: Surviving and Thriving in Payment Reform
David Overton, Executive Director of Clinical Integration, St. Joseph's Regional Health Center
St Joseph Health Partners (SJHP) is a Clinically Integrated Network formed under FTC guidance to lead the St Joseph Health System into the future of pay for performance and value based purchasing. SJHP is focused on 4 key strategic imperatives as it relates to payment reform; Medicare ACO, Commercial payer partnerships, Patient Centered Medical Home, and Care Coordination. SJHP is in year 1 of the 3 year Medicare Shared Savings Program and is focusing on reducing readmissions and inappropriate utilization of healthcare services through care coordination. SJHP has partnered with a national commercial payer to manage the health of the St Joseph Employee Health Plan but also to co-brand a health insurance product that drives steerage to the health system and creates incentives to steer patients to the lowest cost and appropriate healthcare services through the medical home.
Roundtable 4
Exploring the Network Services Model for Primary Care Transformation in Maryland
Craig Behm, Executive Director, MedChi Network Services
MedChi Network Services (MNS) is a management services organization founded by MedChi, the Maryland State Medical Society. The mission to support the private practice of medicine was originally carried out through practice support such as revenue cycle management, coding reviews, EHR optimization, and other related services. When medical society leadership reviewed the final ACO regulations – including physician-leadership, no downside risk, and an advance payment program – they encouraged MNS to expand their service offerings and organize physician groups. Working in the rural parts of the state, MNS was able to form 3 MSSP ACOs consisting entirely of independent, primary care physicians. The challenges faced during the last two years of integrating over 30 different practices with a dozen EHR systems have been significant, but they also offered numerous opportunities to add value at the point of care. MNS is transforming primary care physicians into population health managers.
Roundtable 5
Advancing Consumer Engagement in a Physician Led ACO
Sandy L. Chung, MD, CMIO, Health Connect ACO
Health Connect IPA is a physician led ACO consisting of over 160 primary care physicians in northern Virginia that is actively working on adopting a patient engagement strategy in a consumer directed market. Using proprietary personalized software, Health Connect has overcome many of the limitations of collecting clinical actionable data from EHR databases from multiple practices. Join us to learn about and share ideas regarding the “next step” of reaching out to the consumer once actionable data has been collected to provide better care coordination, improve the patient experience and reduce the cost of care delivery.
Roundtable 6
Identifying At Risk Populations and Operationalizing Data for Care Interventions
Linda Oliver, Director of ACO Implementation, Atrius Health
The implementation of electronic health records has afforded significant opportunity to leverage data to identify high risk patients and to apply population management principles while improving transitions across the care continuum and adding significant value. Learn more about disease specific initiatives that have resulted in improved health outcomes.

Consumer Engagement, mHealth and Connected Medical Home Forum

09.00 «»10.00

Keynote Panel: Bringing Healthcare to Consumers and Engaging them in the Process

Moderator: Gary Capistrant, Senior Director, Public Policy at American Telemedicine Association
Brian Ralston, CMIO Chicago Market, Tenet Healthcare
Lyle Berkowitz, Associate Chief Medical Officer of Innovation, Northwestern Medicine
Lena Lattanzi, Executive Director, Product Management, Vree Health
View HD Video Improving outcomes means patients will have to become more involved with their care. Instead of waiting for the patient to visit and present a symptom or complaint, providers will need to provide more ways for patients to present risks before they become advanced illnesses. Join our panel that will discuss ways that the new patient-as-consumer can be engaged and actively working to remain healthier.

10.00«»10.15

Short Break

10.15«»11.00

Breakout Sessions

Track 1Informatics to Support Consumer and Provider Engagement for Population Health Management
Dr Ed Chung, Physician Advisor, InterSystems
View HD Video Around the world, healthcare systems share the goals of improving patient outcomes and caring for an entire population, while minimizing cost and risk. Traditionally, population health management has focused on statistical reporting and public health registries, yet the most effective approaches harness the power of patients and providers to transform healthcare behaviors. This presentation will review how a health informatics platform is fundamental to a modern population health management strategy, and for engaging patients, connecting clinicians across the continuum of care, and using data to drive actions.
Track 2Integrating mHealth and Telehealth for Mississippi's Chronic Disease Management Programs
Kristi Henderson, Chief Telehealth & Innovation Officer, Professor, School of Nursing, University of Mississippi Medical Center
Dr. Claude Brunson, Senior Advisor to the Vice Chancellor for External Affairs, Professor of Anesthesiology, University of Mississippi Medical Center
View HD Video Challenges created by the ever-growing demand of patient needs, changes in healthcare delivery as a result of The Affordable Care Act, HIPAA regulations, and the HITECH mandate, physicians and healthcare providers must rapidly adapt to an ever-changing environment. To maximize efficiency, enhance communication between providers and patients, and provide consistent high quality care to patients, new platforms that integrate medical care and digital technology are being developed and deployed. Communications technology encompassing a broad range of tools such as smartphone applications, outbound messaging, emails, patient portals, telemedicine and more are continuously evolving.

11.00 «»11.30

Networking Break in Exhibit Hall

11.30«»12.15

Breakout Sessions

Track 1Laying the Foundations for Arkansas' Healthcare Transformation: Distributing Medical Expertise and Fostering Collaboration through Distance Health Consultations
Curtis Lowery, Ob/Gyn Chairperson and Director of Center for Distance Health, University of Arkansas Medical Sciences
View HD Video Arkansas is a rural, medically underserved state with most of the state’s population living far away from specialty care. To increase healthcare access, the state’s only academic medical center and state Medicaid agency created a telemedicine system that evolved from a high-risk obstetrical consultation service to a multi-disciplinary and multi-institutional clinical, educational, and research platform that serves over 400 sites and reaches every resident in Arkansas. This system faced classic challenges to uptake and function and evolved to meet each challenge. Telemedicine infrastructure and partnerships can respond to healthcare reform adaptations and the redefinition of academic medical center roles.
Track 2Patient Portals: Effective Approaches and Future TrendsModerator: Charlene Vaughn CEO, The Algonquin Group
Calvin Togashi, Pharm.D.,M.S., Partner, HealthQEC/formerly with Kaiser Permanente
Matt Sarrel - Healthcare Expert; GigaOm Analyst; CEO and Founder of Sarrel Group
Jonathan C. Silverstein, VP Biomedical Research Informatics, NorthShore University Health System
Lauren Sullivan, Director Application Services, Sinai Health System
View HD Video Challenges created by the ever-growing demand of patient needs, changes in healthcare delivery as a result of The Affordable Care Act, HIPAA regulations, and the HITECH mandate, physicians and healthcare providers must rapidly adapt to an ever-changing environment. To maximize efficiency, enhanced communication between providers and patients, and provide consistent high quality care to patients, new platforms that integrate medical care and digital technology are being developed and deployed. Communications technology encompassing a broad range of tools such as smartphone applications, outbound messaging, emails, patient portals, telemedicine and more are continuously evolving.
» What is your organization currently doing, or what have you seen other organizations doing, regarding patient portals?
». Patient portals can provide a host of benefits: streamlining, provider workflow, improving patient-provider communications, improving quality of care, etc. From the implementations that you’ve seen, what are their strong points and where could they be improved?
» For those organizations without a patient portal, what are some other ways to enhance and streamline Patient-Provider communication?/br>
» There are many interesting innovations and new technologies enhancing Patient-Provider communication? What are some of the more successful case studies or use cases have you seen and what are the factors that lead to their success?
» Any parting words of wisdom for our audience?

12.15«»01.15

Solution Provider Networking and Lunch

1.15«»1.25

Short Break

Healthcare Performance and Risk Management Forum

1.30«»2.15

Keynote Panel: Data, Risk and Performance Management for the Second Generation of ACOs

Moderator: Dr. Nathan Gunn, President Population Health, Valence Health
Michelle Brown, CEO, Morehouse Choice ACO
Julie Bonello, CIO, Access Community Health Network
View HD Video The Accountable Care Organization (ACO) is evolving from the pioneer stage. We can now learn from the failures and successes of Pioneer ACOs and start to determine the features and characteristics of a high-performing organization. Our keynote speakers will discuss the data analytics, assessment and reaction to risk and performance evaluations that will engage patients, enhance communications, generate savings and results in an effective ACO.

Short Break

3.20 «»4.05

Breakout Sessions

Win an iPad Mini * Drop your business card into the box to win an iPad Mini, winner announced after the closing keynote panel !
Track 1 Illinois' Accountable Care Entities (ACE): Risk and Performance Management for Medicaid ACOsModerator: Tom Lowry, Director Government Sales, InterSystems
Raul Recarey, Executive Director, Illinois Health Information Exchange Authority
Hunt Blair, HIT-enabled Care Transformation SME, ONC/DHHS
Sonia Mehta, CMO, Loretto Hospital
Suresh Krishnan, CIO, Loretto Hospital
View HD Video The rollout of health care reform legislation and Federal innovation grants have set the stage for new approaches to meeting the triple aim of increasing quality of care, lowering costs, and improving population health outcomes for Medicaid populations in some states. These approaches are key to improving patient outcomes and decreasing health care costs nationally. One approach of the health care reform legislation to improve care coordination, ensure quality and safety, and reduce waste is the Accountable Care Organization (ACO). ACOs are provider-based organizations that assume responsibility and accountability for the quality, cost, and comprehensive care of a defined population of patients across the continuum of care. Illinois has embarked on a Medicaid innovation with Accountable Care Entities ACE organizations which hope to fulfill this aim. The panel will explore the assessment of population risk stratification, quality measurements, reporting, care coordination, patient engagement and lessons learned through the use of technology for sharing information.
Track 2 Transition from Fee-for-Service to Value-Based Payments: Strategies, Technologies and RealitiesModerator: Tim Sykes, Area Vice President, ZirMed
David Overton, Executive Director of Clinical Integration, St. Joseph's Regional Health Center, 'Connected Medical Home Innovations'
Claude H. Hall, Director, Grants & Strategy Sinai Health System
Paul Katz, VP, Health Data Analytics, Zirmed
Although the pace of the shift toward value-based care is difficult to predict, one thing is certain: healthcare organizations must prepare for a reimbursement environment in which fee for value will continue to increase as a percentage of total revenue.
So what does value-based reimbursement really mean for physicians, administrators, and vendors? And how are organizations successfully navigating the transition today?
Join the conversation as health system and HIT leaders discuss strategies—and technologies—for managing and improving performance in a time when population health management and revenue cycle management are becoming ever more intertwined.

Moderator: David Stumpf, Professor Emeritus, Northwestern University, CEO Woodstock HIT
Danielle Sims, Project, Project Officer, Office of the National Coordinator for Health IT
Satyender Goel, Director BD, Chicago Health IT Regional Extension Center (CHITREC)
Jesse Shiah, CEO, AgilePoint
View HD Video Health care can be engineered as a sequence of events triggering tasks with actors, action scripts, and outcomes. Tasks are the building blocks of workflows such as care plans, transitions of care and numerous other scenarios. Only experts can curate workflows. Best of breed technology platforms provide user friendly tools facilitating curation and their seamless translation into executable applications that can be configured to local environments. Bridging the traditional gap between experts’ knowledge and executable code shortens development time, provides flexibility, and enhances scalability.

Pre Conference Workshops

Workshop 01 | Paying For Outcomes Not Performances

View HD Video
A pay for outcomes ("P4O") based approach differs from existing pay for performance initiatives in focusing on quality outcome rather than on process measures. P4O payment reform adjusts payments based on a provider' relative risk -adjusted performance in terms of outcomes, thereby creating a financial incentive for providers to reduce their rate of negative outcomes (e.g, of potentially preventable events) The success of P4O-based payment reform in cost containment and quality improvement is highly dependent on proper design and implementation. This workshop describes the essential principles of P4O systems--and illustrates these principles in action---as implemented for ACOs, hospitals and managed care plans by state and commercial payers in three different states.

01:45 pm«»02:45 pm

Workshop 02 | Healthcare BI/Analytics: The Scrabble Conundrum

Joe Van De Graff, Research Director, KLAS Research

View HD Video
In the healthcare BI/analytics game, the word tiles are numerous and the vendor players are growing in number. For providers, the stakes are high, and making sense of the vendor word tiles and combinations is anything but easy.

In this session, KLAS gives healthcare specific insight into dynamic BI market landscape, vendors and how they perform, and where things are headed.

View HD Video
For healthcare organizations, becoming an ACO and implementing a Population Health Management strategy is no longer a matter of "if", but instead "when and how". Many healthcare organizations will try to become ACOs if the financial opportunity is sufficient. But only the ACOs that achieve clinical integration and learn how to execute on population health management will succeed. Therefore, information technologies, including automation tools, are essential components of ACO success.

o achieve population health management, ACOs must use a range of information technologies. These include not only electronic health records, but also aggregating claims data to capture total cost of care and predictive risk, and supplemental technologies to automate the routine work of tracking, educating, and communicating with patients. These tools will make it possible to do PHM comprehensively and cost-effectively, allowing ACO members to benefit economically from shared-savings, bundled-payment and global capitation programs.

Attend this pre-conference session to learn how many of the largest healthcare organizations are successfully addressing PHM by operationalizing care coordination.

Workshop 04 |An Introduction to the CCHIT ACO HIT Framework: A Consensus Developed Guide to Success While Assuming Accountability for the Cost and Quality of Health Care

View HD Video
Organizations can assume financial risk and accountability for quality of care and patient loyalty in multiple different ways, depending on their current structure, culture, and goals. The processes and functions necessary to reach goals will vary accordingly, as will the HIT infrastructure that can best support them.
Organizations can assume financial risk and accountability for quality of care and patient loyalty in multiple different ways, depending on their current structure, culture, and goals. The processes and functions necessary to reach goals will vary accordingly, as will the HIT infrastructure that can best support them.

Wednesday September 11th | DAY 01

2013 Accountable Care & Health IT Strategies Summit

HealthShare Bay Area has been pursuing a “connector strategy” for linking together the many private HIOs in its service area. While this strategy will help participants manage individual patient “out-of-network” encounters, it cannot directly provide the kind of analytics that a repository-based HIE can. HSBA is instead pursuing a unique query methodology which can be used to gather summarized data across all of those Participant HIOs who agree, that can be used for tracking regional and area health factors and can significantly add to the Participant’s individual analytic capabilities. Come and learn more, and help to frame up the use cases that you think are particularly relevant to your patient populations.

Keynote 2 | Transforming the Payer-Provider Relationship

View HD Video
Change in healthcare is impacting us all – patients, providers, insurers and employers. Employers and consumers are demanding more value for their healthcare dollars. With health plans and providers working to meet the demands of this changing environment, success requires collaboration – between providers and insurers and with consumers as well. We are working together to develop innovative financial arrangements and new models that place the patient at the center of care, encouraging greater accountability by all parties. Insurers and employers are creating new programs to engage individuals in their healthcare decisions and enable consumers to live healthier lives. With all that is in motion in our industry, we need to continue to work together.

View HD Video
As payers and providers are increasingly participating together in ACOs and other risk based contracts, payer-provider collaboration that optimizes claims and clinical data towards will prove critical for establishing trust, transparency and defined standards that will support efforts to improve care coordination and population health management outcomes.

11:45 a.m.«»12:15 p.m.

Buffet Served for Meet the Innovators Lunch

12:15 p.m.«»01:00 p.m.

Meet The Innovators Keynote and Introduction: Pathways to Innovation: Perspectives on Adoption and Diffusion

Wil Yu, Advisor Healthcare Markets and Innovations, Institute for the Future, City and County of San Francisco, Director, Foundation for Healthcare Innovation

Meet the Innovators Working Lunch Roundtables

View HD Video
Project Directors and leading HIT Strategists will lead roundtable discussions around specific technology and project initiatives that are at the leading edge of the Accountable Care and Health IT innovation and transformation process.

View HD Video
With change so constant, how do you implement and sustain a culture of continuous improvement particularly when entrenched interests might naturally be resistant to such dramatic change. The winners will be able to promote a culture of accountability and effectively engage in management by fact, organizational learning and continuous improvement.

To do so requires leadership, a culture of measurement, processes and performance analytics capabilities, data transparency and feedback available to all stakeholders. During this session you will learn how 2011 Malcolm Baldrige winner Henry Ford Health System leverages a performance analytics framework to drive performance and process improvement.

Track 2

Utilizing Technology to Meet the Needs of a Changing Healthcare System

Meryl Moss, COO, Coastal Medical Centre

View HD Video
Utilizing eCW since 2006, Coastal Medial was an early adopter of technology specifically designed to improve patient care and reduce medical errors. The record has done all of this and much more. Currently, Coastal is using technology to reinvent the payment model for their ACO by utilizing the new CCMR functions. This new tool will enable the group to review data in real time and modify patient management strategy to reach even more of their goals which center around improving the patient experience and quality of care they provide, as well as reducing the cost of care across their entire population of patients.

Learning Objectives

Learn how the quality of data impacts ACO goals of “Triple Aim” Learn how access to quality data impacts P4P programs and work with specialty providers Learn why patient satisfaction is a main focus as medicine changes.

View HD Video
As payers and providers are increasingly participating together in ACOs and other risk based contracts, payer-provider collaboration that optimizes claims and clinical data towards will prove critical for establishing trust, transparency and defined standards that will support efforts to improve care coordination and population health management outcomes.

Join this panel to learn from leading provider and payers organizations who will share their experiences, challenges and strategies for success to optimize data in an increasingly collaborative payer-provider environment.

View HD Video
Newly formed ACOs, as well as evolving ACOs who are bringing on board new provider and payer participants face the challenge of combining multiple sources of disparate data and presenting quality and performance metrics to participating organizations, that enables transparency across the ACO operation, supports population risk stratification efforts to improve care coordination amongst care teams.

Join this panel to learn from the experiences of two provider organizations who are currently evolving their data infrastructure to ensure they maximizing the value of data sources they currently have available as well as integrate new sources of data towards these goals.

03:40 p.m.«»03:50 p.m.

Short Break

03:50 p.m.«»04:35 p.m.

Breakout Sessions

Track 1

Engaging Communities through Technology: Sharing Data and Risk

Qi Li, M.D., Physician Executive, InterSystems

View HD Video
Accountable care organizations (ACO) are positioned to play a major role in restructuring the delivery of healthcare. Like other care models that are experiencing changing reimbursement structures, ACOs require new competencies to coordinate the delivery of care and manage populations, finances, and risk. To be successful, ACOs must excel in three areas where health IT plays a crucial role: strategic interoperability, care coordination, and analytics for action. Without these competencies, ACOs will not be able to meet their mandate to provide quality care while controlling costs.

Strategic planning is required when building an IT ecosystem that connects an engaged community of providers, payers, and patients, and where analysis of real-time data is dynamic. As ACO guidelines and recommendations evolve, it is also crucial for organizations to have an IT infrastructure that is scalable, flexible, and extensible. In this presentation, we will share the strategic roadmap one healthcare enterprise has implemented to address these competencies on their journey to sharing data and risk across an engaged community.

Track 2

Blue Shield California ACO Development - Early Successes, A Long Road Ahead

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Blue Shield of California has partnered with medical groups and hospitals across CA to create and operate ten ACOs. Simon Jones, Vice President HIT Product Strategy, will discuss the road to this point including early successes and challenges, and the road ahead, including the role of technology in support of emerging models in healthcare. - See more at: http://www.healthcareitconnect.com/events/aco-2013-accountable-care-hit-strategies-summit/#sthash.vRCkPPAL.dpuf

04:35 p.m.«»05:35 p.m.

Networking: Wine and Cheese Tasting in Exhibit Hall

Thursday September 12th | DAY 02

2013 Accountable Care & Health IT Strategies Summit

07:45 a.m.«»08:45 a.m.

Accountable Care Implementation Roundtables

ACO, Health System and Medical Group representatives will be available to connect with conference attendees over breakfast at assigned tables to discuss their organization's Accountable Care and HIT Implementation strategy. This is a critical session for organizations to problem solve in a collaborative environment and to provide information on current and planned RFPs, projects, opportunities and challenges they are facing in achieving organizational goals, roundtable leaders to be announced.

09:00 a.m.«»09:45 a.m.

Keynote: Good Help ACO - The Team Approach to Improving Value

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A Catholic IDS with physician practices, hospitals, SNF, and home care embarked upon a clinical transformation strategy to provide an extraordinary individual experience of care across the continuum. The key elements were paired clinical and financial executives and an integrated EHR. The results include all time high operating margin, engagement and quality. External validation of the work, include HIMSS stage 7, NCQA patient-centered medical homes, and now a CMS MSSP effort serving 61,000. The conversation will describe the key elements and lessons learned on the journey to the ACO.

09:45 a.m.«»10:00a.m.

Short Break

10:00 a.m.«»11:00 a.m.

Keynote Panel: Health Intelligence in the Era of Reform: Strategies for Improvement

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Analytics to predict future medical costs of individuals and populations are limited by the varying characteristics of the available data: abstracted data, clinical data, and claims data. By combining and analyzing all three types of data, predictive modeling promises the best opportunity for success in a physician-centric model—where reimbursement arrangements shift accountability and opportunity to physicians. The technical, administrative, and regulatory challenges associated with this aggregation are significant. However, as more population health management initiatives migrate from payers to providers, advancements should occur in the ability to predict and mitigate future medical events.

Join this session to hear both challenges and successes from two providers who are trailblazing clinical analytics; and a health intelligence company who is partnering with leading health care providers to transform the way healthcare is delivered.

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Moving beyond the elementary reporting features required for MU State 1 to the required reporting and analytics functionality required to succeed in a 'pay for performance' market requires an organization to establish an Enterprise Data Warehouse (EDW) with the agility to quickly bring in data from it's own EMR as well as interface with organizations utilizing different EMRs (often the case in a clinically integrated setting) and other data sources.

This session will follow the implementation of real life EDW implementation, attendees will discover and learn best practice relating to:

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This session addresses the need for introducing chronic condition management into routine patient care and highlight the importance of proactive management of patients conditions between clinical visits. This session will illustrate how to achieve successful value based care from an organizational and technological perspective and shed light on where the industry collectively needs to go in order to achieve future success under this model in order for patients to live healthier lives and be more engaged in the management of their own care. Industry leaders Sumit Nagpal, President & CEO of Alere Accountable Care Solutions and Dr. William Park of North Hawaii Community Hospital will provide practical answers to these questions as well as advice on overcoming impediments for further growth.

12:15 p.m.«»01:15 p.m.

Solution Provider Networking and Lunch: Dedicated networking

01:15 p.m.«»02:00 p.m.

Keynote: Real ACOs: Turning Vision into Reality

Brent James, Chief Quality Officer, Intermountain Healthcare

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The idea that higher quality can drive lower costs transformed manufacturing world-wide during the latter part of the 20thcentury. In the early 1990s, small groups of clinical researchers demonstrated that the same principles applied within health care delivery. They showed that Shared Baseline protocols – “standard work” adapted to the needs of unique individual patients – massively improved clinical outcomes while very significantly reducing care delivery costs. Unfortunately, under a fee-for-service payment system reductions in resource utilization resulting from better care nearly always created windfall savings for purchasers, while damaging care providers operating margins. Accountable Care Organizations provide an operational framework for deploying best care protocols and reducing costs. They also include payment mechanisms that align financial incentives, returning some of the resulting savings to the operating margins of the groups who lead the change. All involved benefit: Patients see much better, far more affordable care; care providers are able to focus on clinical excellence and survive financially; and those who finance care are able to control health care cost increases. This talk will cover the operational structure to deploy such a system, with live examples drawn from Intermountain Healthcare.

02:00 p.m.«»02:05 p.m.

Short Break

02:05 p.m.«»02:50 p.m.

Breakout Sessions

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Reducing readmissions is a top priority for ACOs and providers who are facing increasing reimbursement penalties from Medicare at 1% in 2013, 2% in 2014 and 3% in 2015 for specified conditions. Utilizing data to define and improve readmission reduction strategies means tracking interventions, monitoring outcomes and analyzing data to assess the effectiveness of the interventions and better manage care transitions and care coordination in the community.

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How do Accountable Care Organizations manage a patient population without knowing what actions patients are taking after they’ve left the clinic? Effective population management requires a proactive approach to patient engagement by the ACO which delivers improved clinical outcomes and reduces avoidable healthcare costs.

02:55 p.m.«»03:55 p.m.

Closing Keynote Panel: Health IT Services for ACOs: Lessons Learned from the Beacon Community Program

David E. Kelleher, MS, President and founder, HealthCare Options Inc./Central Indiana
Kent Hiller, Vice President of Data Solutions and Analytics, Indiana Health Information Exchange/Central Indiana Beacon Community
David Lobach, MD, Division Community and Family Medicine, Southern Piedmont Beacon Community
Keith Hepp, CFO and VP of Business Development for Healthbridge/Greater Cincinnati Beacon Community

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Beacon Communities from Cincinnati, North Carolina, and Central Indiana will highlight data aggregation, analytics, and information exchange services and capabilities that are relevant to accountable care organizations (ACOs). Participants will gain valuable insights into the underpinnings of ACO development and where certain Beacon efforts are relevant for ACOs. Additionally, insights into sustainability through meaningful payment reform efforts will be discussed.

Hyatt Regency McCormick Place, now Hyatt's fourth largest hotel in the world and the fourth largest hotel in Chicago, providing a new guest room tower, renovated outlets, meetings and public space. In partnership with McCormick Place Convention Center. Chic yet inviting décor, superb service and luxurious amenities enhance your guest experience from the moment you enter the welcoming Chicago McCormick Place hotel. Take in the incredible views of downtown, Lake Michigan and the Museum Campus from contemporary guest rooms and enjoy a hotel located conveniently near Soldier Field. Savor a variety of delicious cuisines in the popular McCormick Place hotel restaurants. Relax in our indoor pool and StayFit™ fitness center.